CCSP – Concussion Exam Study Guide Solutions Updated

CCSP – Concussion Exam Study Guide Solutions Updated The riskiest activity in soccer - ANSWER-Heading the ball (Upper limb to head accounts for 50% of concussions) Sport responsible for most concussions - ANSWER-football HS Football unreported concussion rate - ANSWER-65% (coaching staff & HCPs not informed of condition) What demographic will increase incidence of concussion and injuries to head and face? - ANSWER-being female What will decrease incidence of head injuries in soccer? - ANSWER-use of headgear What causes most ER trips for head injury for children aged 5-14yo? - ANSWER- Biking Head Injury History - ANSWER-Have you ever hurt your head before? Definition of Concussion - ANSWER-An immediate and transient loss of neuronal function secondary to trauma. (Neuronal Function = LOC, memory or motor skills) Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/13 Second Impact Syndrome - ANSWER-A subsequent and possibly fatal brain injury that can occur when a second head injury is received before the initial head injury has resolved; Can be associated with concussion; An athlete may present with a seemingly mild concussion however, within seconds, the athlete may develop symptoms of second-impact syndrome; mortality rate of up to 50%; Rapidly dilating pupils, loss of eye movement, beginning respiratory failure from brainstem deficiency Post-Traumatic Amnesia (PTA) - ANSWER-Retrograde Amnesia & Anterograde Amnesia Retrograde Amnesia - ANSWER-Partial or total loss of the ability to recall events that have occurred immediately preceding brain injury; varies with the time of measurement post-injury and hence is poorly reflective of injury severity Anterograde Amnesia - ANSWER-Reduced ability to form new memory; May lead to decreased attention and inaccurate perception (ie. Poor School Performance); frequently the last function to return. Sideline Evaluation of Acute Concussion - ANSWER-1. A comprehensive history 2. Detailed neurological examination (Thorough assessment of mental status, Cognitive function, Gait and balance) 3. Determination of clinical status of the patient (Improvement or deterioration since the time of injury) Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/13 4. Determine need for emergent neuroimaging in order to exclude a more severe brain injury involving a structural abnormality. Predictor of outcome in Concussion - ANSWER-Duration of LOC When a player shows ANY features of a concussion: - ANSWER-(a) The player should be medically evaluated onsite using standard emergency management principles, and particular attention should be given to excluding a cervical spine injury (b) The appropriate disposition of the player must be determined by the treating healthcare provider in a timely manner. If no healthcare provider is available, the player should be safely removed from practice or play and urgent referral to a physician arranged. (c) Once the first aid issues are addressed, then an assessment of the concussive injury should be made using the SCAT2 or other similar t